| THE JOSEPH B. TRAINER STUDENT HEALTH SERVICE | |||||||||
| Baird Hall 18, Phone (503) 494-8665 | |||||||||
| Academic Year 2007-2008 fees for Health Service (mandatory); major medical, dental, | |||||||||
| vision insurance through ODS Companies, based on number of months of coverage. | |||||||||
| Student in School: Coverage effective on the 1st day of month classes begin. Based | |||||||||
| on Academic Year calendar, some individuals may be insured for more than 12 months. | |||||||||
| FOR: SOM 1st & 2nd Year Medical Students; 1st Year Radiation Therapy | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (5 months) | Premium for August - December 2007 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $1,040.75 | $1,196.90 | $676.50 | $1,977.45 | |||||
| Dental | $109.75 | $112.90 | $94.80 | $207.15 | |||||
| Vision | $39.10 | $44.85 | $25.35 | $74.10 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Dental | TBD | TBD | TBD | TBD | |||||
| Vision | TBD | TBD | TBD | TBD | |||||
| FOR: SOM 3rd Year Medical Students | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (3 months) | Premium for October - December 2007 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Terms Used: DP = Domestic Partner; Child(ren) = one or multiple children, all insured for one premium | |||||||||
| Page 1 of 4 | |||||||||
| FOR: SOM 3rd Year Medical Students | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Spring (2 months) | Premium for April - May 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $416.30 | $478.76 | $270.60 | $790.98 | |||||
| Dental | $43.90 | $45.16 | $37.92 | $82.86 | |||||
| Vision | $15.64 | $17.94 | $10.14 | $29.64 | |||||
| Summer (months TBD) | Premium for June - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Dental | TBD | TBD | TBD | TBD | |||||
| Vision | TBD | TBD | TBD | TBD | |||||
| FOR: SOM 4th Year Medical Students; Graduate; PhD; MPH; Med Informatics; Masters; | |||||||||
| Radiation Therapy Continuing (after 1st year); Dietetic Interns | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (3 months) | Premium for October - December 2007 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Dental | TBD | TBD | TBD | TBD | |||||
| Vision | TBD | TBD | TBD | TBD | |||||
| FOR: SOM PA Students | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (4 months) | Premium for September - December 2007 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $832.60 | $957.52 | $541.20 | $1,581.96 | |||||
| Dental | $87.80 | $90.32 | $75.84 | $165.72 | |||||
| Vision | $31.28 | $35.88 | $20.28 | $59.28 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Terms Used: DP = Domestic Partner; Child(ren) = one or multiple children, all insured for one premium | |||||||||
| Premium rates subject to change as of September 1st annually. | |||||||||
| Page 2 of 4 | |||||||||
| FOR: SOM PA Students | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Spring (2 months) | Premium for April - May 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $416.30 | $478.76 | $270.60 | $790.98 | |||||
| Dental | $43.90 | $45.16 | $37.92 | $82.86 | |||||
| Vision | $15.64 | $17.94 | $10.14 | $29.64 | |||||
| Summer (months TBD) | Premium for June - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Dental | TBD | TBD | TBD | TBD | |||||
| Vision | TBD | TBD | TBD | TBD | |||||
| FOR: Radiation Therapy Continuing Students; PharmD 3 | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (4 months) | Premium for September - December 2007 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $832.60 | $957.52 | $541.20 | $1,581.96 | |||||
| Dental | $87.80 | $90.32 | $75.84 | $165.72 | |||||
| Vision | $31.28 | $35.88 | $20.28 | $59.28 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service fee | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Dental | $65.85 | $67.74 | $56.88 | $124.29 | |||||
| Vision | $23.46 | $26.91 | $15.21 | $44.46 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Dental | TBD | TBD | TBD | TBD | |||||
| Vision | TBD | TBD | TBD | TBD | |||||
| FOR: SOD 1st Year Dental Students | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (5 months) | Premium for August - December 2007 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $1,040.75 | $1,196.90 | $676.50 | $1,977.45 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Page 3 of 4 | Premium rates subject to change as of September 1st annually. | ||||||||
| Terms Used: DP = Domestic Partner; Child(ren) = one or multiple children, all insured for one premium | |||||||||
| FOR: SON DPN only | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (3 months) | Premium for October - December 2007 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| FOR: SOD Dental Cont; SON Portland Undergrad, Grad Nursing, Grad Entry Returning; CDRC | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (4 months) | Premium for September - December 2007 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $832.60 | $957.52 | $541.20 | $1,581.96 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| FOR: SOD Dental Grad | |||||||||
| (PREMIUMS IN ADDITION TO STUDENT'S) | |||||||||
| Student Only | Spouse or DP | Child(ren) | Family | ||||||
| Fall (3 months) | Premium for October - December 2007 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Winter (3 months) | Premium for January - March 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Spring (3 months) | Premium for April - June 2008 | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | $624.45 | $718.14 | $405.90 | $1,186.47 | |||||
| Summer (months TBD) | Premium for July - August or September 2008 (Academic Calendar TBD) | ||||||||
| Health Service | $219.00 | $219.00 | n/a | n/a | |||||
| Major Medical | TBD | TBD | TBD | TBD | |||||
| Terms Used: DP = Domestic Partner; Child(ren) = one or multiple children, all insured for one premium | |||||||||
| Premium rates subject to change as of September 1st annually. | |||||||||
| C:\Health6_5\[0708shsfees.htm]Portland Campus | |||||||||
| Page 4 of 4 | |||||||||